Appleton City Manor
600 North Ohio · Appleton City, MO · 64724 · 6604762128
60 certified beds For profit - Limited Liability company
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $65,335 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$65,335 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $65,335 |
Inspection citations (63 in the current record)
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Immediate jeopardy · J February 27, 2026 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected February 28, 2026 · Quality of Life and Care
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Potential for harm · D November 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 9, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected August 10, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 10, 2025 · Pharmacy Service
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Potential for harm · D June 27, 2025
Ensure that residents are free from significant medication errors.
Corrected August 10, 2025 · Pharmacy Service
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Potential for harm · D June 27, 2025
Provide and implement an infection prevention and control program.
Corrected August 10, 2025 · Infection Control
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Potential for harm · D November 20, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 20, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 27, 2024 · Quality of Life and Care
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Potential for harm · D November 20, 2024 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected December 27, 2024 · Quality of Life and Care
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Potential for harm · D November 20, 2024 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected December 27, 2024 · Quality of Life and Care
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Potential for harm · D November 13, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 27, 2024 · Quality of Life and Care
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Potential for harm · F November 13, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 7, 2025 · Infection Control
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Potential for harm · E October 17, 2024 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected December 9, 2024 · Resident Rights
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Potential for harm · D October 17, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 9, 2024 · Quality of Life and Care
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Potential for harm · F October 17, 2024 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected December 9, 2024 · Nursing and Physician Services
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Actual harm · G September 9, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 23, 2024 · Quality of Life and Care
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Potential for harm · D September 9, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected February 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 9, 2024
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected February 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 9, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected February 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 9, 2024
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected December 10, 2024 · Quality of Life and Care
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Potential for harm · D September 9, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 27, 2024 · Quality of Life and Care
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Potential for harm · D September 9, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected October 23, 2024 · Quality of Life and Care
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Potential for harm · D September 9, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 23, 2024 · Quality of Life and Care
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Potential for harm · E September 9, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 7, 2025 · Pharmacy Service
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Potential for harm · D September 9, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected December 10, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 9, 2024 | Fine | $65,335 |
| September 9, 2024 | Payment Denial | 83 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265843 · certified since October 1, 2012. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.